7/30/2019 Blue Jeans Inaugural Ball (2013 Inauguration)

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The Fairfax County Democrats Present

The 2013

Saturday, January 19, 20137:00 pm to Midnight

Richard J. Ernst Community Cultural Center

at Northern VA Community College8333 Little River Turnpike

Annandale, VA 22003

Live Music Special Guests

Food & Drinks

Tickets $75 each(includes admission & two drink tickets)

To purchase tickets, visit

fairfaxdemocrats.org/BJB

or use the form on the next page

For more information, call (703) 573-6811Paid for by the Fairfax County Democratic Committee, fairfaxdemocrats.org,

not authorized by any candidate or candidates committee.

ource: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sou

https://services.myngp.com/ngponlineservices/Event.aspx?Y=FrZ0S4jyDpXPlenSxCFs7SkRP1ksW45wkwgZtkKlT6Ux44o%2b3mwElA%3d%3d&at=Adminhttps://services.myngp.com/ngponlineservices/Event.aspx?Y=FrZ0S4jyDpXPlenSxCFs7SkRP1ksW45wkwgZtkKlT6Ux44o%2b3mwElA%3d%3d&at=Adminhttps://services.myngp.com/ngponlineservices/Event.aspx?Y=FrZ0S4jyDpXPlenSxCFs7SkRP1ksW45wkwgZtkKlT6Ux44o%2b3mwElA%3d%3d&at=Admin

7/30/2019 Blue Jeans Inaugural Ball (2013 Inauguration)

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Registration Form

Pay online atwww.fairfaxdemocrats.org or complete and mail this form:FCDC, 2815 Hartland Rd, Suite 110, Falls Church, VA 22043.

Nonfederal Campaign Committees, corporations, LLCs, and unions must pay by check.

Name

Street Address

City State Zip

Home Phone Work Phone Cell Phone

Email Address

Occupation Employer Name

Employer City & State

Guest Names: _______________________________________________________________________

Tickets

(Qty.) Tickets- $75 each Includes admission and two drink tickets

Unfortunately I am unable to attend, but please accept my contribution of $________

Sponsorships are available! Contact sponsors@fairfaxdemocrats.org.

Payment Options

Enclosed is my check in the amount of $ payable to FCDC.

I prefer to pay with my personal credit card: ___ Visa ___ MasterCard ___ American Express ___ DiscoverName as it appears on the credit card

Credit Card Number Exp. Date

Signature

Your contribution may be used in connection with federal elections and is subject to the limitations and prohibitions of the FederalElection Campaign Act. Contributions that comply with the limitations and prohibitions of the Federal Election Campaign Act will bedeposited into the FCDC Federal account, and unless otherwise designated for non-federal purposes, will be used in connection withFederal elections, and are subject to the above limitations and prohibitions. Other contributions will be deposited into the FCDC non-federal account. Federal and Virginia state law require political committees to report the name, address, occupation and employer of

individuals whose contributions aggregate in excess of $200 and $100, respectively, in a calendar year.

Contributions are not tax deductible for federal income tax purposes.

Paid for by the Fairfax County Democratic Committee, fairfaxdemocrats.org,

not authorized by any candidate or candidates committee.

ource: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sou

https://services.myngp.com/ngponlineservices/Event.aspx?Y=FrZ0S4jyDpXPlenSxCFs7SkRP1ksW45wkwgZtkKlT6Ux44o%2b3mwElA%3d%3d&at=Adminhttps://services.myngp.com/ngponlineservices/Event.aspx?Y=FrZ0S4jyDpXPlenSxCFs7SkRP1ksW45wkwgZtkKlT6Ux44o%2b3mwElA%3d%3d&at=Adminhttps://services.myngp.com/ngponlineservices/Event.aspx?Y=FrZ0S4jyDpXPlenSxCFs7SkRP1ksW45wkwgZtkKlT6Ux44o%2b3mwElA%3d%3d&at=Adminhttps://services.myngp.com/ngponlineservices/Event.aspx?Y=FrZ0S4jyDpXPlenSxCFs7SkRP1ksW45wkwgZtkKlT6Ux44o%2b3mwElA%3d%3d&at=Admin